| NPI | 1770939969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.148603) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 6419-851) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2022-10-13 |