| NPI | 1285874362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AK 206386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA DO-04549) |
| 207R00000X Internal Medicine (Licence: IN 02003720A) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 006861) | |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2023-09-15 |