| NPI | 1093841843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 51047) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-224667) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 103668) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2012-08-08 |