| NPI | 1629495973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV 26787) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0073095) |
| 207R00000X Internal Medicine (Licence: GA 88415) | |
| 208M00000X Hospitalist (Licence: KY 51420) | |
| 207R00000X Internal Medicine (Licence: KY 51420) | |
| 208M00000X Hospitalist (Licence: GA 88415) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2026-08-24 |