| NPI | 1861578759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 73759) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 84066) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036114926) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2024-12-11 |