| NPI | 1508864489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: RI MD19374) |
| Additional Taxonomies | 174400000X Specialist |
| 174400000X Specialist (Licence: TX J5672) | |
| 207R00000X Internal Medicine (Licence: TX J5672) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX J5672) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2023-07-12 |