| NPI | 1679527485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL MD.31660) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA 032157) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME99163) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 31469) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2018-04-10 |