| NPI | 1285900670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME138311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME138311) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2023-05-01 |