| NPI | 1427674407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 111341) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 111341) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2026-09-16 |