| NPI | 1780942037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A163605) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: AZ 54256) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2024-09-16 |