| NPI | 1881646008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AZ 43720) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036-074325) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-09-03 |