| NPI | 1770577785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036175750) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 35007) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2025-07-03 |