| NPI | 1295962397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 241337) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 22078) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2021-12-15 |