| NPI | 1326252503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 065611) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016526) |
| 207R00000X Internal Medicine (Licence: GA 065611) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2022-03-15 |