| NPI | 1144266248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MO R1732) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: KS 0429011) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2017-11-16 |