| NPI | 1265607907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NC 2013-02431) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-02431) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2024-07-15 |