| NPI | 1942263827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 36117730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 217223) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 217223) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2012-01-30 |