| NPI | 1740642065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2019024529) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 0447621) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036159796) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2023-06-13 |