| NPI | 1255452751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 46097) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 059421) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2010-11-05 |