| NPI | 1811005044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G65029) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G65029) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: HI MD-21526) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2025-10-09 |