| NPI | 1386910610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036166243) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 293497) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2024-01-02 |