| NPI | 1750420766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD29378) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM 2003-0295) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2022-11-10 |