| NPI | 1285993576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD70063680) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.132790) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-168165) | |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2026-02-03 |