| NPI | 1033372727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036131371) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT190170) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2010017443) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2013-06-18 |