| NPI | 1548298029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA MD200092) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD200092) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2010-03-03 |