| NPI | 1598766255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301114320) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 51996) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 29735) | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2018-08-23 |