| NPI | 1023348299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036164435) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q2845) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME117230) | |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2024-02-26 |