| NPI | 1306490685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 125074364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074364) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2022-05-16 |