| NPI | 1306873021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 33289) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036090631) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2023-01-04 |