| NPI | 1093869786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 63638) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 063638) |
| 207R00000X Internal Medicine (Licence: FL ME105404) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-03-04 |