| NPI | 1770644478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 200401318) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200401318) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 93794) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2025-06-09 |