| NPI | 1427267871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NE 31976) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: SC 31303) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2015017972) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2024-04-09 |