| NPI | 1275580227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD042011) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D46031) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2019-11-08 |