| NPI | 1295944163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 65380-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01073420A) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036117736) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-03-04 |