| NPI | 1609510981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.173747) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022019854) |
| Enumeration Date | 2022-04-23 |
| Last Update Date | 2025-05-17 |