| NPI | 1629279682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S9058) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S9058) |
| 207R00000X Internal Medicine (Licence: VA 0101243414) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME119426) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 280215) | |
| 208M00000X Hospitalist (Licence: TN 48122) | |
| 208M00000X Hospitalist (Licence: VA 0101243414) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2023-06-07 |