| NPI | 1801189550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 328140) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ND LT15728) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 70069) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SD 15331) | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2026-06-02 |