| NPI | 1023633138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.164029) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022041238) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2023-06-18 |