| NPI | 1538510201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: KY 54341) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP537) |
| 208M00000X Hospitalist (Licence: NY 300114) | |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2025-06-24 |