| NPI | 1932141660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA 38753) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 38753) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME91577) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2021-09-02 |