| NPI | 1760005003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-164477) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075748) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2023-06-30 |