| NPI | 1306009907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301092100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092100) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036127193) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2019-06-10 |