| NPI | 1588808257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 37691) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 37691) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2021-05-20 |