| NPI | 1912106998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2010-00502) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 045885) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2023-05-18 |