| NPI | 1255683181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D83029) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 274445) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101262471) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD044268) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2022-01-20 |