| NPI | 1528420437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0102207161) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102207161) |
| 207R00000X Internal Medicine (Licence: IL 125.068423) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.148400) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-10-24 |