| NPI | 1326034158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD030329E) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036125223) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101039536) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-10-29 |