| NPI | 1205824810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX L8585) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2022014629) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2013-00585) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 52921) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 39148) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036171841) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2024-09-10 |