| NPI | 1003822875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101054161) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101054161) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D40278) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 43526) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-01-27 |