| NPI | 1770741746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD461762) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D68601) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2022-07-21 |