| NPI | 1477847978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: SC 81572) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 3379) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2025-05-09 |