| NPI | 1457558348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: VA 0101260375) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NM MD2013-0713) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2024-02-14 |