| NPI | 1467652560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 62299) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 0360144348) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2018-03-17 |