| NPI | 1720283625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A111174) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2013008758) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 36.132568) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2016-10-10 |