| NPI | 1407924954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2008002909) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 234248) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036124859) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-01-14 |