NPI | 1528044518 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036113721) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036113721) |
Enumeration Date | 2005-12-21 |
Last Update Date | 2024-08-28 |