| NPI | 1083677645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 014289) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 014289) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-07-08 |