| NPI | 1154546174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NE 25185) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-116493) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2014-06-03 |