| NPI | 1508246968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A154478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A154478) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A154478) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2022-05-12 |