| NPI | 1336364041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 0062775) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 229519) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 229519) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M8608) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2024-05-13 |