NPI | 1790247492 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.160069) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 336079) |
Enumeration Date | 2019-04-02 |
Last Update Date | 2025-05-27 |