| NPI | 1043423536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101272678) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 113220) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IA MD-50202) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SD 7215) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NV 22828) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2023-05-10 |