| NPI | 1124349642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301103310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103310) |
| 207R00000X Internal Medicine (Licence: IL 125058609) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2016-07-08 |