| NPI | 1356320881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101-234846) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101234846) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2017-01-30 |