| NPI | 1962452615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 40889) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME88755) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 18247) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M3899) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 57426) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 35496) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2025-03-18 |