| NPI | 1265478275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101274422) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX 41307) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C156639) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 291092) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2023-08-24 |