| NPI | 1679868277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 1017371) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 201700853) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AL MD.37611) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2024-11-25 |