| NPI | 1205807328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036108442) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 112982) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2025-09-16 |