| 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 |