| NPI | 1205913373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D71200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 16172) |
| 207R00000X Internal Medicine (Licence: MD D71200) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-02-07 |