| NPI | 1194769836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036147178) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME0055741) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: ND 24238) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2026-06-23 |