| NPI | 1427213461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: WA MD60078007) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60078007) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036-116032) | |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2019-08-09 |