| NPI | 1407943194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: GA 82069) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME0032418) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2019-04-15 |