| NPI | 1194924142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MA 238723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 232618) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2010-09-14 |