| NPI | 1750315628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2023-00516) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 225952) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 56747) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C1-0026301) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-08-28 |