| NPI | 1417148131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD440274) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: DE C1-0008435) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2011-04-12 |