NPI | 1073950390 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036148765) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-063030) |
Enumeration Date | 2013-05-28 |
Last Update Date | 2019-06-27 |