| NPI | 1851585087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 6360128-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 6360128-1205) |
| 208M00000X Hospitalist (Licence: UT 7471341-1205) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2016-06-09 |