| NPI | 1437512183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME155892) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 97206) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2023-09-08 |