| NPI | 1548897929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME EC251015) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1014260) |
| 208M00000X Hospitalist (Licence: MA 1014260) | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-08-06 |