| NPI | 1346272549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME0062021) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: OR MD191900) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-03-18 |