| NPI | 1669931432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301514012) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD481430) |
| 207R00000X Internal Medicine (Licence: PA MD481430) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-06-24 |