| NPI | 1841279627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 86347) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 38943) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 255095) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2021-09-10 |