| NPI | 1619357639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036149580) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125066952) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2024-01-11 |