| NPI | 1609290246 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 02005187A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02005187A) |
| 208M00000X Hospitalist (Licence: IN 02005187A) | |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2020-07-17 |