| NPI | 1609106210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME161959) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 8918) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2023-05-09 |