| NPI | 1952553380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A126764) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A126764) |
| 208M00000X Hospitalist (Licence: MA 237795) | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2021-05-24 |