| NPI | 1467015610 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL OS18583) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL OS18583) | 
| Enumeration Date | 2019-04-15 | 
| Last Update Date | 2025-08-01 |