| NPI | 1346371085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME112424) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036119474) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX L9844) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2024-03-07 |