| NPI | 1578755773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 81917) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2018-02906) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A102590) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 41345) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2025-09-08 |