| NPI | 1023192275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: HI 6551) |
| Additional Taxonomies | 174400000X Specialist (Licence: HI MD 6551) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2024-03-05 |