| NPI | 1922217637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A121430) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 049962) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 49962) | |
| 208M00000X Hospitalist (Licence: CT 049962) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2015-07-10 |