NPI | 1558701540 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036169376) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 184601) |
Enumeration Date | 2013-07-05 |
Last Update Date | 2024-07-18 |