| NPI | 1578769303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60783086) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002851) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 002851) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q0286) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-12-04 |