| NPI | 1265470140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101032217) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD027161E) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 29713) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 84527) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101032217) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01082717A) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-05-10 |