| NPI | 1407380058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101282250) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD500002820) |
| 207R00000X Internal Medicine (Licence: VA 0101282250) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD500002820) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2025-07-03 |