| NPI | 1649319195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 9801480) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 98-01481) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 9801481) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2024-11-12 |