NPI | 1235662370 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036152251) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036152251) |
207RG0100X Internal Medicine, Gastroenterology (Licence: WI 101870) | |
208M00000X Hospitalist (Licence: IL 036152251) | |
Enumeration Date | 2017-04-05 |
Last Update Date | 2024-08-19 |