| NPI | 1740308592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A104433) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036117494) |
| 207R00000X Internal Medicine (Licence: CA A104433) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2011-07-18 |