| NPI | 1497172530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: OR MD181363) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60742652) |
| 207R00000X Internal Medicine (Licence: OR MD181363) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2024-06-17 |