| NPI | 1760684013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: GA 078297) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036.126079) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: IN 01071300A) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-12-01 |