| NPI | 1912327529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A149631) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MT217184) |
| 207R00000X Internal Medicine (Licence: CA A149631) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX T6634) | |
| 208M00000X Hospitalist (Licence: CA A149631) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2023-11-08 |