| NPI | 1144332586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: RI MD11310) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 230117) |
| 207R00000X Internal Medicine (Licence: RI MD11310) | |
| 207R00000X Internal Medicine (Licence: NY 230117) | |
| 207R00000X Internal Medicine (Licence: MA 230672) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 230672) | |
| 207R00000X Internal Medicine (Licence: MI 4301089173) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301089173) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-15 |