| 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 |