| NPI | 1679734271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036-149250) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: MI 4301106607) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2021-03-18 |