| NPI | 1164460499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: HI 14000) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A80649) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2008-11-19 |