| NPI | 1538401831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101269092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD458486) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2020-09-11 |