| NPI | 1962667956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036124900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125052873) |
| Enumeration Date | 2008-07-19 |
| Last Update Date | 2014-07-31 |