| NPI | 1922254051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD039056) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116020692) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2021-10-27 |