| NPI | 1386842565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 71105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-053469) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 069465) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2019-08-14 |