| NPI | 1336220623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 9801047) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 33198) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-08-07 |