| NPI | 1407875586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 38660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2006-01356) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2006-01356) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC TL38660) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-03-02 |