| NPI | 1659367332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301091620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091620) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101223908) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301092620) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2024-03-25 |