| NPI | 1275648586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME89913) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2021-0015) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 16292) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2024-02-01 |