| NPI | 1083847768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME116492) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD206866) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2022-07-21 |