| NPI | 1235572843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D81171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D81171) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101268562) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2022-03-09 |