| NPI | 1881650133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G205123) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 72719) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2026-04-17 |