| NPI | 1477879765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 70082-20) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VT 060.0004183) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2021-05-25 |