NPI | 1417932955 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: IL 036-088879) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 75757) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2025-04-02 |