| NPI | 1528280997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NE 32326) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 29327) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 29024) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-06-17 |