NPI | 1801800289 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036144304) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD479317) |
207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.129369) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01077964A) | |
Enumeration Date | 2006-07-28 |
Last Update Date | 2024-04-02 |