| NPI | 1932420957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036159689) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN15220) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME135462) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2023-03-22 |