| NPI | 1841586211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.146777) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.059364) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0058264) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2022-07-21 |