| NPI | 1699977413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ND LT 12568) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36117326) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2021-12-28 |