| NPI | 1720519598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.151834) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.151834) |
| 208M00000X Hospitalist (Licence: IL 036.151834) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2021-05-31 |