| NPI | 1275732984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 30423) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME EC071059) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 47877) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2020-03-06 |