| NPI | 1275647125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 291590) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036049153) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60903183) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD5712) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD433241) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01068653A) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.142897) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2022-08-09 |