| NPI | 1184677999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 67128) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 12085) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2021-02-02 |