| NPI | 1942271606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME0774610) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 143712) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301512571) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2025-03-18 |