| NPI | 1790926079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C182354) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD453753) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX p5107) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2020-1183) | |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2023-03-23 |