| NPI | 1316049257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME164143) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: AZ 77485) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2025-08-08 |