| NPI | 1336644459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 326050) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 102472) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2025-01-27 |