| NPI | 1437118718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 105279) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: HI MD-26081) |
| 207R00000X Internal Medicine (Licence: MO 105279) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2025-10-21 |