| NPI | 1114448016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036153478) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX T9943) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2025-12-02 |