| NPI | 1427035286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME138378) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 53233) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 53233) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2020-08-31 |