| NPI | 1841264702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 14186030-1235) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 14186030-8905) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD073245L) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 50173) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 130278) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2024-11-26 |