| NPI | 1982166526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ID 3671876) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS022074) |
| 207R00000X Internal Medicine (Licence: ID 3671876) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2026-03-19 |