| NPI | 1346215712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME0070846) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 81907) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 80873) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2025027043) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2025-11-11 |