| NPI | 1306912118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 31077) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN MD40262) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2014-04-10 |