| NPI | 1700106697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 253276) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 253276) |
| 208M00000X Hospitalist (Licence: MA 253276) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2017-06-08 |