| NPI | 1396795241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 62826) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 13873) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-10-16 |