| NPI | 1386177558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036165100) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 101714) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2024-07-02 |