| NPI | 1245467067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME151069) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301093965) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301093965) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2021-10-06 |