| NPI | 1033436530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CT 50095) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 50095) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2022-09-10 |