| NPI | 1568419760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD429084) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036173040) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2025-05-02 |