| NPI | 1346604113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 46132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 67653) |
| 207R00000X Internal Medicine (Licence: GA 82183) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 67653) | |
| 208M00000X Hospitalist (Licence: GA 82183) | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2024-01-11 |