| NPI | 1972503456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25IA12990900) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD489045C) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MT MED-PHYS-COM-LIC-144) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 15485) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 72447) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME62317) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 44345) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 101499) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 81399) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX V3512) | |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2026-02-10 |