| NPI | 1164639274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2016004841) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 35499) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-01-14 |