| NPI | 1023103439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.125568) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 13031) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A107914) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-06-03 |