| NPI | 1104002245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-134693) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-134693) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 247910) | |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2021-12-20 |