| NPI | 1386023679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036167372) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066326) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CO TL.0007014) | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2024-02-26 |