| NPI | 1720204241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NC 2010-00436) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: CA C191997) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME151696) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: VA 0101272979) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: TN 66842) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: SC 87144) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036.163386) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: MD D0093137) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: AL 47383) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: NJ 25MA12021700) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: NY 325458) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: TX U4269) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: GA 86625) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2023-12-14 |