| NPI | 1316258221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101252165) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101252165) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD210001373) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2024-08-30 |