NPI | 1487828653 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036120055) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2011001553) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01092779A) | |
Enumeration Date | 2008-04-17 |
Last Update Date | 2024-06-03 |