| NPI | 1467895748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125063786) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2019-00464) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2021-04-14 |