| NPI | 1275762858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A135091) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT195869) |
| Enumeration Date | 2009-07-05 |
| Last Update Date | 2024-02-15 |