| NPI | 1790018166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 64644) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301095173) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: ME EL201002) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2020-01-08 |