| NPI | 1194764399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0094654) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME0094654) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2017-05-19 |