| NPI | 1679034383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.160678) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30034) |
| 207R00000X Internal Medicine (Licence: MN 67751) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-01-22 |