| NPI | 1043503972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036161314) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 83353) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 83353) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2022-08-02 |