NPI | 1437270253 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036117146) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036117146) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2017-10-10 |