| NPI | 1881782654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.131531) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR R-4256) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M4691) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2021-01-11 |