| NPI | 1619019304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036081217) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 64928-20) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2025-11-21 |