NPI | 1578826939 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036138701) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01083881A) |
207R00000X Internal Medicine (Licence: IL 125061405) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01083881A) | |
Enumeration Date | 2012-06-20 |
Last Update Date | 2024-07-08 |