| NPI | 1750643482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.133659) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2021029490) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2023-10-05 |