| NPI | 1710970587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 119771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 119771) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2026-07-06 |