| NPI | 1750323424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036101777) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 57390) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2023-06-26 |