NPI | 1043212954 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036040513) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036040513) |
Enumeration Date | 2005-08-11 |
Last Update Date | 2023-03-07 |