| NPI | 1043292501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: VA 0101 037816) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101 037816) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2008-02-20 |