| NPI | 1316021488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2017-0501) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT MED-PHYS-LIC-79859) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C36054) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-05-06 |