| NPI | 1134508112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101272029) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066414) |
| 207R00000X Internal Medicine (Licence: IL 036145420) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036145420) | |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2023-09-07 |