| NPI | 1891705737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-104745) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-104745) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 35093) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 29567) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2024-03-15 |