| NPI | 1407218324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 5101024643) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125068145) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2019-06-12 |