| NPI | 1497932461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-114152) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 95975) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2021-11-18 |