| NPI | 1740239714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301039364) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI JM039364) |
| 207R00000X Internal Medicine (Licence: MI 4301039364) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2016-07-12 |