| NPI | 1609835198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: HI 20249) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 54622) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2024-10-24 |