| NPI | 1295725836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101058609) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 037701) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-03-23 |