| NPI | 1033320403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101266157) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD453081) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC TL 30651) | |
| 207R00000X Internal Medicine (Licence: CT 044924) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2026-02-23 |