| NPI | 1528009875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NC 2006-01509) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: WI 46100) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-03-15 |