| NPI | 1598993735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 250700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 240106) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2017-11-20 |