| NPI | 1134281470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q9495) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301104088) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301104088) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD433087) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MT183912) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2022-07-21 |