| NPI | 1285686915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 6490) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 00006490) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-06-29 |