| NPI | 1568927226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036162972) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 66905) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2023-03-15 |