| NPI | 1346381969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: OK 23910) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 23910) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2011-09-16 |