| NPI | 1730101874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2010011563) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2006001799) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-10-26 |