| NPI | 1528295698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 31906) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME 018667) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2023-10-30 |