| NPI | 1295765485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 0360463383) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 100166440A) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |