| NPI | 1710967989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036054138) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036054138) |
| Enumeration Date | 2006-01-22 |
| Last Update Date | 2015-02-25 |