| NPI | 1275633844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD00032743) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 129513) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI EMC0004965) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: HI MD-12112) | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2024-11-07 |