| NPI | 1508023227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 77617) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A136230) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2025-08-29 |