| NPI | 1073932398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A141119) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A141119) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2024-10-07 |