| NPI | 1033180187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD H0075616) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: HI DOS-945) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2024-02-19 |