| NPI | 1649599317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 57279-20) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 2849521) |
| 208M00000X Hospitalist (Licence: WI 5727920) | |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2020-09-15 |