| NPI | 1740489145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2009-00138) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL TRN9919) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2023-03-01 |