| NPI | 1194719658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D07926) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D7926) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2016-10-22 |