| NPI | 1285664912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME83037) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 89016) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301510615) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-07-26 |