| NPI | 1144248816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 8663) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 086631) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2013-04-23 |