| NPI | 1790941466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036124149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036124149) |
| 208M00000X Hospitalist (Licence: IL 036124149) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2023-07-14 |