| NPI | 1972762540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301111717) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036120988) |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2025-05-15 |