| NPI | 1598721938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 93534) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX G0104) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX G0104) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2025-11-05 |