| NPI | 1841386323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME113694) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 21617) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-02-24 |