| NPI | 1205821089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 37492) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 36091180) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2022-11-14 |