| NPI | 1831170612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0070209) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 19975) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 47028) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 70083) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2026-01-27 |