| NPI | 1073670691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101022697) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101022697) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2013-03-04 |