| NPI | 1447562699 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0088546) | 
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD043772) | 
| Enumeration Date | 2010-07-04 | 
| Last Update Date | 2020-05-14 |