| NPI | 1811278088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD462390) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.207078) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 314288) | |
| 208M00000X Hospitalist (Licence: TX R1291) | |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2024-09-16 |