| NPI | 1891113288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX T6612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A154916) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 154916) | |
| 208M00000X Hospitalist (Licence: MD D83688) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2022-09-20 |