| NPI | 1912130121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX BP10067738) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036125977) |
| 207R00000X Internal Medicine (Licence: OH 35128184) | |
| 208M00000X Hospitalist (Licence: OH 35128184) | |
| 208M00000X Hospitalist (Licence: IL 036125977) | |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2019-07-13 |