| NPI | 1356605703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036137814) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.060822) |
| 207R00000X Internal Medicine (Licence: IL 036137814) | |
| 208M00000X Hospitalist (Licence: IN 01076365A) | |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2024-06-14 |