| NPI | 1821144403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036165353) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0043601) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C171402) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD00049187) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-02-09 |