| NPI | 1316928849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036169629) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: MD D0046282) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2024-06-05 |