| NPI | 1093751695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M7492) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 226586) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-07-24 |