| NPI | 1841279627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2025-03810) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 86347) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 255095) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.109420) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 38943) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 103054) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2026-03-12 |