| NPI | 1740644657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A152531) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A152531) |
| 208M00000X Hospitalist (Licence: CA A152531) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2025-03-04 |