| NPI | 1346322872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 64800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301404025) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301404025) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2021-10-18 |