| NPI | 1972837243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL OS 11747) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL OS11747) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2024-04-18 |