| NPI | 1922068121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036084658) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036084658) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 036048) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2014-06-18 |