| NPI | 1013048016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2013-01530) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA MD-46717) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 71506) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101281812) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2025-03-25 |