| NPI | 1205082633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2011020278) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2011020278) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036140401) | |
| 208M00000X Hospitalist (Licence: MO 2011020278) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2019-03-07 |