| NPI | 1720575418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL OS16856) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS16856) |
| 208M00000X Hospitalist (Licence: FL OS16856) | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2024-07-18 |