NPI | 1528090164 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036085835) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 02007506A) |
207R00000X Internal Medicine (Licence: IL 036085835) | |
Enumeration Date | 2006-07-06 |
Last Update Date | 2024-03-13 |