| NPI | 1013113364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 078939) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 22586) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 249386) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 22586) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2018-10-03 |