| NPI | 1366441354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA OS007619L) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME DO2986) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2021-12-28 |