| NPI | 1659660272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036169650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD044169) |
| 207R00000X Internal Medicine (Licence: FL ME119677) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 81162) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 86430-20) | |
| 207R00000X Internal Medicine (Licence: GA 81162) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 84938) | |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2025-11-14 |