| NPI | 1609905462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 2126) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 03019) |
| 208M00000X Hospitalist (Licence: KY 03019) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2025-09-30 |