| NPI | 1225018989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 13335R) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 13335R) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2021-03-26 |