| NPI | 1710986898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH EL10071) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 027392) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2022-10-03 |