NPI | 1811214364 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036158764) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A130399) |
Enumeration Date | 2010-04-23 |
Last Update Date | 2022-02-23 |