| NPI | 1326222431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 15134) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME 018776) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2012-02-01 |