| NPI | 1356577951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA DO-05475) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI dos-1377) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: HI dos - 1377) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2020-11-03 |