| NPI | 1427010362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME137751) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 53132) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2023-10-30 |