| NPI | 1740669282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 154616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 60740) |
| 208M00000X Hospitalist (Licence: CA A154616) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2021-12-15 |