| NPI | 1467447821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD00049193) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NJ 25MA07723200) |
| 208M00000X Hospitalist (Licence: NJ 25MA07723200) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA07723200) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2024-04-11 |