| NPI | 1043525520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: ND 18947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 297877) |
| 207R00000X Internal Medicine (Licence: IL 036141035) | |
| 207R00000X Internal Medicine (Licence: IN 01072399A) | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2024-09-12 |