| NPI | 1417117532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 16649) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NH 16649) |
| 207R00000X Internal Medicine (Licence: NH 16649) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2016-05-02 |