| NPI | 1336435965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D83058) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35134037) |
| 207R00000X Internal Medicine (Licence: CT 54218) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 54218) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C1-0012777) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2020-04-30 |