| NPI | 1013135912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60385630) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036118248) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 54610) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2015-03-12 |