| NPI | 1952449340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036126406) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036126406) |
| 208M00000X Hospitalist (Licence: IL 036126406) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2023-09-26 |