| NPI | 1376564815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U2767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 47868) |
| 207R00000X Internal Medicine (Licence: TX 99999) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX 99999) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2002027101) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX U2767) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 121321) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036140847) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX 47868) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA03726400) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD451324) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-07-09 |