| NPI | 1558569186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036146688) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002860) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2018-08-10 |