| NPI | 1568417780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036115700) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 13614-320) |
| 207R00000X Internal Medicine (Licence: IL 036115700) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2025-11-19 |