| NPI | 1952542680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q8052) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI lp01192) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036132738) | |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2022-06-23 |