| NPI | 1952368987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME MD13842) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME 13842) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2026-06-15 |