| NPI | 1992771158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA OS012660) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS012660) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-08-10 |