| NPI | 1023677010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036.159810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8520) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2022-05-21 |