| NPI | 1649407289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0082067) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101248589) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101248589) | |
| 208D00000X General Practice (Licence: VA 0101248589) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2020-07-13 |