| NPI | 1730762782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.165434) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036165434) |
| 208M00000X Hospitalist (Licence: IL 036165434) | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2025-06-06 |