| NPI | 1922279348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL 118437) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 243126) |
| 207R00000X Internal Medicine (Licence: FL 118437) | |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2015-03-20 |