| NPI | 1598789653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 025772) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 1022596) |
| 207R00000X Internal Medicine (Licence: CT 025772) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2025-04-03 |