| NPI | 1437178183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD212771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD212771) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2008-00686) | |
| 207R00000X Internal Medicine (Licence: CA A88099) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2022-08-30 |