| NPI | 1063408342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 36054658) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 27434-020) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2007-09-07 |