| NPI | 1497072243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301111716) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P7120) |
| 207R00000X Internal Medicine (Licence: TX BP1-0036662) | |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2019-02-05 |