| NPI | 1164886479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.164843) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 70879) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2023-08-16 |