| NPI | 1972540979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301038143) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301038143) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-02-22 |