| NPI | 1033642509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036091548) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 118062) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2019-11-11 |