| NPI | 1023205002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-9914) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101017416) |
| 207R00000X Internal Medicine (Licence: IA 4436) | |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2018-05-15 |