| NPI | 1457707515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2023008147) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.138738) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2023-08-02 |