| NPI | 1144200296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 42783) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM A-1716-12) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2016-02-25 |