| NPI | 1033193891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 64480) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 040551) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME102765) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2021-12-28 |