| NPI | 1639289382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 26590) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 044896) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: ND 9715) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-12-28 |