| NPI | 1578094918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301512272) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.151674) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036151674) | |
| 208M00000X Hospitalist (Licence: IL 036.151674) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-09-17 |