NPI | 1831619527 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A201167) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A201167) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036151841) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD481526) | |
Enumeration Date | 2017-06-22 |
Last Update Date | 2025-07-18 |