| NPI | 1093760415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036.069591) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.069591) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036069591) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2017-12-26 |