| NPI | 1649447012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 89535) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 117217) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2023-06-19 |