| NPI | 1225024748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0063370) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101238145) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME85544) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2021-11-30 |