| NPI | 1427357839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2025-03138) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 62029) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME159782) | |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2025-11-14 |