| NPI | 1134613094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.170598) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 74846-20) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2024-08-19 |