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 |