| NPI | 1689084774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 54270) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 54270) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2022-08-18 |