| NPI | 1285623157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 52624) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 107082) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 30914) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME60263) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 14538) | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2020-09-10 |