| NPI | 1861592925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 105784) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 33058) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-02-12 |