| NPI | 1083812192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036122947) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: IN 01071060A) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2021-04-02 |