| NPI | 1770739211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036132916) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T2666) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX T2666) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.142000) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2023-11-07 |