| NPI | 1881643088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 17986) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 17986) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 17986) | |
| 208M00000X Hospitalist (Licence: MS 17986) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2024-02-13 |