| NPI | 1689764151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 56852) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 107008) |
| 207R00000X Internal Medicine (Licence: AR E-4436) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-09-26 |