| NPI | 1194901942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 53722) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA AH 1918018-4317) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2021-02-23 |