| NPI | 1922460146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0096927) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036147649) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0116033676) | |
| 207R00000X Internal Medicine (Licence: IL 125068380) | |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2023-07-18 |