| NPI | 1851658728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2012032351) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A160085) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036153515) | |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2022-02-23 |