| NPI | 1922026269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 94015) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 24616) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 24616) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-07-18 |