| NPI | 1780734236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101234704) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D60162) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD034468) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |