| NPI | 1871592493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MD D0091413) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: DC MD049110) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2024-08-13 |