| NPI | 1669657581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S5096) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S5096) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 148313) | |
| 208M00000X Hospitalist (Licence: PA MD437250) | |
| 208M00000X Hospitalist (Licence: CA 148313) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2020-08-04 |