| NPI | 1134203938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036048413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036048413) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-12-03 |