| NPI | 1740205830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD176935) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036061478) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 56507) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-02-10 |