| NPI | 1871666735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AZ 34321) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 34321) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-12-16 |