NPI | 1912075649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036084107) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 57870) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2024-04-05 |