| NPI | 1699031583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036-135984) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 1699031583) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: WI 69801-20) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2024-01-05 |