| NPI | 1477534337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 42557) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 040315) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2023-11-27 |