| NPI | 1699087163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 53065) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MS 21666) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2023-03-07 |