| NPI | 1538435714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: DC MD042557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD042557) |
| 208M00000X Hospitalist (Licence: VA 0101257960) | |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2019-05-08 |