| NPI | 1669444642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 62090) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 336100746) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2020-11-11 |