| NPI | 1609396209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036155221) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036155221) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2025-01-06 |