| 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 |