| NPI | 1578524377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD20220) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD20220) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2015-03-03 |