| NPI | 1073790788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD157584) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A96835) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2012-12-19 |