| NPI | 1508284456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 60754) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 60754) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2022-06-23 |