| NPI | 1245591387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A168864) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09723500) |
| 207R00000X Internal Medicine (Licence: TX BP10044661) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 57292) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD455378) | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2023-05-17 |