| NPI | 1275517658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA 27037) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-27037) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2022-03-11 |