| NPI | 1033475983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 284228) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103482) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301103482) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2021-01-21 |