| NPI | 1841446788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036123230) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-050973) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2014-06-26 |