| NPI | 1336357433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA OP60152129) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 5101015880) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2019-06-21 |