| NPI | 1386649812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MO R3P42) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R3P42) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2022-08-15 |