NPI | 1326393737 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036170088) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A161762) |
207R00000X Internal Medicine (Licence: CA A161762) | |
Enumeration Date | 2012-07-23 |
Last Update Date | 2024-06-18 |