| NPI | 1801248455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0106334) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RI0008X Internal Medicine, Hepatology (Licence: MD D0106334) | |
| 208M00000X Hospitalist (Licence: CT 63575) | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2026-05-26 |