| NPI | 1851387229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 11794) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042-0010476) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 49986) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 138343) | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2024-03-19 |