| NPI | 1962479238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101290548) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME82094) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 93153) | |
| 207R00000X Internal Medicine (Licence: FL ME82094) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 27368) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 079942) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 56528) | |
| Enumeration Date | 2006-03-04 |
| Last Update Date | 2026-09-16 |