| NPI | 1255382008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 51194) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 46436) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2010-06-07 |