| NPI | 1295757433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: ID 0-173) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: UT 10165949-8904) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2017-01-27 |