| NPI | 1720154073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: VA 0101034554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101034554) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: MD D27943) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: DC MD12776) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2022-10-06 |