| NPI | 1104274224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.151095) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125068627) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2024-08-02 |