| NPI | 1437149226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MA 73813) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: CT 033771) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2020-01-28 |