| NPI | 1942417118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD27547) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 27547) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2021-12-22 |