| NPI | 1710393780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 75708) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 04-40937) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2024-03-05 |