| NPI | 1346650470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 069431) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D89124) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2022-09-26 |