| NPI | 1184841595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036133197) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087574) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 57141) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2021-12-23 |