| NPI | 1275743221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0085459) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 25113) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-06-10 |