NPI | 1346565520 |
---|---|
Former Name | EILEEN KISILIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 52227) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 52227) |
208M00000X Hospitalist (Licence: CT 52227) | |
Enumeration Date | 2010-03-31 |
Last Update Date | 2021-02-10 |