| NPI | 1538439096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301504839) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036.143595) |
| 207R00000X Internal Medicine (Licence: IL 036.143595) | |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2021-08-04 |