| NPI | 1942393525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 7256) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO CDR.0000643) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CO CDR.0000643) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-08-19 |