| NPI | 1356337158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101230288) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0057100) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD32391) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2019-05-07 |