| NPI | 1710419122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IA MD-51934) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036.152697) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-10-09 |