| NPI | 1003896200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60320814) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 014115) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036140291) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2016-04-28 |