| NPI | 1194092031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036138639) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036138639) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2019-10-01 |