| NPI | 1649680778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NC 2021-01504) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA10113900) |
| 207R00000X Internal Medicine (Licence: PA MT205831) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2021-06-29 |