| NPI | 1285615823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 1395141) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 101276907) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL me161091) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MD d0095680) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2023-10-12 |