| NPI | 1295733384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101269318) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101269318) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D24207) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD10342) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2022-04-01 |