| NPI | 1427123702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 49637) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 49637) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2024-05-23 |