| NPI | 1285619874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 35361) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 17419) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2025-03-04 |