| NPI | 1407839533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 12380) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 29976) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0044124) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2022-01-19 |