| NPI | 1326010067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036174766) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: MN 29602) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2025-05-13 |