| NPI | 1770707838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME106681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME106681) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 071619) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-02-07 |