| NPI | 1477909315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 63901) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 0000) |
| 207R00000X Internal Medicine (Licence: MI 4301109536) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-05-13 |