| NPI | 1275751869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A147936) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 36.131858) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2018-11-01 |