| NPI | 1588081699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 79592) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 270787) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2024-10-16 |