| NPI | 1083649081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0061541) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 229687) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-02-19 |