| NPI | 1871523290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME MD21666) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 48100) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2025-04-17 |