| NPI | 1225034937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD19573) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: OR MD19573) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2023-11-28 |