| NPI | 1487996526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 125.063006) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.063006) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2019-07-18 |