| NPI | 1427276732 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-161387)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 49473)  | 
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301501386)  | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 49473)  | |
| Enumeration Date | 2007-04-23 | 
| Last Update Date | 2023-08-02 |