| NPI | 1871957183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 36158753) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10056256) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R5307) | |
| 207R00000X Internal Medicine (Licence: TX R5307) | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2022-06-07 |