| NPI | 1952539553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0102204415) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL1256) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2017-02-01 |