| NPI | 1649560806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 31825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.31825) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2018-05-09 |