| NPI | 1992153142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036149549) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036149549) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2026-02-13 |