| NPI | 1750347902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2012003969) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036128913) |
| 208M00000X Hospitalist (Licence: MO 2012003969) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2022-12-28 |