| NPI | 1629045505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 20816) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 20816) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-11-11 |