| NPI | 1881821825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036136569) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA N/a) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2022-10-12 |