| NPI | 1669500708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 31026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P19871) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2026-03-30 |