| NPI | 1376631739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 29077) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL29077) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2023-03-20 |