| NPI | 1184912529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 13239672-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059055) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 079760) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2024-06-27 |