| NPI | 1194710517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MD D39528) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: MD M30908) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2022-03-09 |