| NPI | 1811197817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 41016) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX P8043) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01072912A) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD432318) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301099885) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2023-07-21 |