| NPI | 1548471600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-130068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301 085 722) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 56789-20) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-03-16 |