| NPI | 1740242106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D83370) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD3206) |
| 207R00000X Internal Medicine (Licence: VA 0101222713) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IA MD-46734) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD32060) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101222713) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2023-07-28 |