| NPI | 1578722948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0081358) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2021-06-06 |