| NPI | 1992118509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 36033) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 64868) |
| 208M00000X Hospitalist (Licence: AL MD36033) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2023-08-03 |