| NPI | 1932389681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME153671) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA md.201317) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL trn13023) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 21382) | |
| Enumeration Date | 2007-11-10 |
| Last Update Date | 2022-07-01 |