| NPI | 1629259890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 02003772A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 336072432) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2016-01-11 |