| NPI | 1285804419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2009-01118) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 134635) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2021-09-20 |