| NPI | 1336395474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60635764) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 56964) |
| 207R00000X Internal Medicine (Licence: IL 125054913) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 106971) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2018-03-17 |