| NPI | 1447249800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036114397) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: WI 73849) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2025-08-02 |