| NPI | 1609809920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 345165) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 35010) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2025-01-31 |