| NPI | 1144431552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 93132) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD038243) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A86844) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: ME MD23735) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2024-09-17 |