| NPI | 1487820353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.138109) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036119387) |
| 207R00000X Internal Medicine (Licence: OH 35.138109) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036119387) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2025-10-31 |