| NPI | 1396038162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ND 13946) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 67559) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2021-05-18 |