| NPI | 1407140015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 77677-20) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.146217) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01082579A) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0055055) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2026-01-26 |