| NPI | 1669678165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 51879) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087870) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301087870) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2023-07-11 |