NPI | 1104159383 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A113069) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036169574) |
Enumeration Date | 2009-09-07 |
Last Update Date | 2024-04-01 |