| NPI | 1073509337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C-205058) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 36104379) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2025-10-30 |