| 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 |