| NPI | 1174767032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036144817) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 67428) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2017-12-21 |