| NPI | 1649228099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101276425) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME111900) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C170813) | |
| 208M00000X Hospitalist (Licence: CA C170813) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-01-09 |