| NPI | 1720540834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.173860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI DOS2133) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2026-06-17 |