| NPI | 1992731616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.172365) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 2044462-1) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2024-10-28 |