| NPI | 1821199464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M2238) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 46918) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036168849) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-04-08 |