| NPI | 1841211687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 22719) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2007-01419) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C51729) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2022-05-18 |