| NPI | 1033378971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2015-01229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME109820) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2016-06-27 |