| NPI | 1245266097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 177500) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 41337) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G169528) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME146278) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2024-09-07 |