| NPI | 1194705392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 36220) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT MED-PHYS-LIC-65989) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 32646) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301114637) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 28055) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 54989) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 56986) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2020-08-11 |