| NPI | 1598786733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 2002-0434) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM 2002-0434) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2024-02-23 |