| NPI | 1790131670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MB11507000) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.148132) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA OSo22405) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2022-10-27 |