| NPI | 1265685200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 64381) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-055233) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2015-07-17 |