| NPI | 1336107994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2009-0653) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036169261) |
| 207R00000X Internal Medicine (Licence: NM MD2009-0653) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2024-04-01 |