| NPI | 1487727731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036068763) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 14199050-1235) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IA MD-48413) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2026-01-12 |