| NPI | 1437447067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 31569) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD15348) |
| 207R00000X Internal Medicine (Licence: WV 31569) | |
| 208600000X Surgery (Licence: MD P26744) | |
| Enumeration Date | 2011-07-17 |
| Last Update Date | 2023-05-15 |