| NPI | 1023304607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NE 27498) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6535) |
| 207R00000X Internal Medicine (Licence: NE 27498) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2024-06-24 |