| NPI | 1568990034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101265558) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 010126558) |
| 208M00000X Hospitalist (Licence: VA 0101265558) | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2026-06-28 |