| NPI | 1497246615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 70887) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 312571) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2026-06-08 |