| NPI | 1386733558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 200701713) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 23985) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-01-10 |