| NPI | 1023014735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL DO15999) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: RI DO00442) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2020-02-27 |