| NPI | 1962815043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036144781) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 125070066) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2023-11-27 |