| NPI | 1801215165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R3415) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R3415) |
| 208M00000X Hospitalist (Licence: TX R3415) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2020-09-24 |