| NPI | 1346691839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0116034996) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068782) |
| 208M00000X Hospitalist (Licence: OH 35.136185) | |
| Enumeration Date | 2016-06-26 |
| Last Update Date | 2024-08-13 |