| NPI | 1144450792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL DO.1151) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL DO1151) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2016-06-27 |