| NPI | 1003937244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME89177) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 25049) |
| 207R00000X Internal Medicine (Licence: NY 234802) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S8378) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2024-09-13 |