| NPI | 1609085240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 272242) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036121716) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036121716) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q0093) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2017-10-04 |