| NPI | 1134132376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NH 17265) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: DC MD30032) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: TX M1716) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2015-09-28 |