| NPI | 1477750271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: WI 56543) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NC 2010-00189) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2024-03-05 |