| NPI | 1285637116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0053501) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0053501) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2025-03-18 |