| NPI | 1972702892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M9364) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M9364) |
| 207RI0008X Internal Medicine, Hepatology (Licence: TX M9364) | |
| 208M00000X Hospitalist (Licence: TX M9364) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2021-10-11 |