| NPI | 1205931144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 83986-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101254410) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2010-00171) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101254410) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2024-08-21 |