| NPI | 1477510295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME LT19015) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR DO193188) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX K5884) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-02-14 |