| NPI | 1326204991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-135707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125053326) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2024-05-01 |