| NPI | 1801988811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 076526) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 0000036718) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2022-01-04 |