| NPI | 1376721142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TN 5765) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: AZ 4543) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2024-08-16 |