| NPI | 1265796429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036137164) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036137164) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2020-09-07 |