| NPI | 1215267596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-126060) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.052336) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2013-07-10 |