| NPI | 1770920035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 269336) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 269336) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2021-09-13 |