| NPI | 1508245291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036165729) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 60368) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2023-11-30 |