| NPI | 1245207513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AL 42770) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 44678) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: TN 44678) | |
| Enumeration Date | 2006-03-04 |
| Last Update Date | 2023-01-05 |