| NPI | 1699038505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 82015) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036178228) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2021027483) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 53408) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME167258) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2026-03-24 |