| NPI | 1295828507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA MD.13642R) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 13642R) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 41590) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2024-04-16 |