| NPI | 1205242591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101281801) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.064994) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 71844) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2024-08-09 |