| NPI | 1396847786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MI 4301053777) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD428700) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2023-08-31 |