| NPI | 1043200835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036063062) |
| Additional Taxonomies | 174400000X Specialist (Licence: IA 22168) |
| 174400000X Specialist (Licence: IL 036063062) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2016-04-25 |