| NPI | 1326002767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 35892) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 35892) |
| 174400000X Specialist (Licence: NC 35892) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2023-06-01 |