| NPI | 1275831521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036135144) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036135144) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036135144) | |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2021-04-06 |