| NPI | 1992860597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME136923) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301077924) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: IN 01094048A) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: CA C141228) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2024-08-02 |