| NPI | 1336283720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0069402) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 229454) |
| 207R00000X Internal Medicine (Licence: MD D0069402) | |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2013-03-07 |