| NPI | 1851552624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0072237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D72237) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2023-11-07 |