| NPI | 1033188487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101039630) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 30535) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2021-03-22 |