| NPI | 1033265848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: VA 0101243894) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NC 200401498) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2011-05-26 |