| NPI | 1326114125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 030085) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 95345) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2025-09-22 |