| NPI | 1407147028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 77511) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.33510) |
| 207R00000X Internal Medicine (Licence: GA 77511) | |
| Enumeration Date | 2011-04-30 |
| Last Update Date | 2022-08-17 |