| NPI | 1952324170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 51157) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV 10706) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C148501) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME143825) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: ID MC-0287) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01054531A) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-04-11 |