| NPI | 1518048990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G081894) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301059491) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301059491) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2024-06-28 |