| NPI | 1114119427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101279874) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0099335) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD210012339) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2024-05-17 |