| NPI | 1922492370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MA 1016290) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NH 22911) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2023-09-06 |