NPI | 1962495200 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036087435) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036087435) |
Enumeration Date | 2005-08-23 |
Last Update Date | 2023-04-10 |