| NPI | 1649478314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV 13527) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 10702453-1205) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2021-02-18 |