| NPI | 1609255686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX U6106) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MT217167) |
| 208M00000X Hospitalist (Licence: LA 304191) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-24 |
| Last Update Date | 2023-08-10 |