| NPI | 1104922251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO R3N38) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 02002257A) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 05-31088) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |