| NPI | 1598159733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S1674) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX S1674) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2021-06-14 |