| NPI | 1134449317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME117464) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN15197) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2020-10-14 |