| NPI | 1508177387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 26269) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101250946) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C172834) | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2022-06-27 |