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 |