| NPI | 1184182198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036174288) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2025-06-22 |