| NPI | 1194031435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036132854) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 390200000) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2020-10-25 |