| NPI | 1770979882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AL 38381) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 303207) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: TX T7470) | |
| 208M00000X Hospitalist (Licence: LA 303207) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2023-06-14 |