| NPI | 1356558621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A100481) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A100481) |
| 208M00000X Hospitalist (Licence: MA 232347) | |
| 207R00000X Internal Medicine (Licence: MA 232347) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-04-29 |