NPI | 1225013972 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036164947) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01049531A) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01049531A) | |
Enumeration Date | 2005-12-14 |
Last Update Date | 2023-07-18 |