| NPI | 1568441855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036102111) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 24098) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 069489) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2024-10-02 |