| NPI | 1306927074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: SD 7768) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 23754) |
| 207R00000X Internal Medicine (Licence: SD 7768) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2022-03-25 |