NPI | 1881027662 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036174247) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 29822) |
Enumeration Date | 2013-08-15 |
Last Update Date | 2025-09-17 |