| NPI | 1487069597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-142486) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065229) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-142486) | |
| 208M00000X Hospitalist (Licence: IL 036142486) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2021-04-21 |