| NPI | 1245497312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 246787) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 241159) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2022-07-21 |