| NPI | 1174610018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME111070) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN10010) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-7210) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 31083) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E7210) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-11-27 |