| NPI | 1376531335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD213472) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME84033) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301113746) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IA MD-44630) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2023-04-28 |