| NPI | 1063641348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ R79307) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 14557) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2023-12-27 |