| NPI | 1841264702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 50173) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 130278) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD073245L) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2024-09-27 |