| NPI | 1013194414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NE 905) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL AE38738983326) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2012-07-02 |