| NPI | 1841363041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101045383) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0037585) |
| 207R00000X Internal Medicine (Licence: DC MD18688) | |
| 207R00000X Internal Medicine (Licence: CA C51858) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-06-22 |