| NPI | 1164420840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G138158) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 45942) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036082812) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2021-11-29 |