| NPI | 1932549987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2025048190) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268970) |
| 207R00000X Internal Medicine (Licence: MI 4301103898) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036177619) | |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2026-03-16 |