| NPI | 1811493943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL 34849) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD049188) |
| 208M00000X Hospitalist (Licence: DC MD049188) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2022-06-10 |