| NPI | 1093199358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 91784) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264017) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0091381) | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2022-06-29 |