| NPI | 1366426298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 14105) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 36011) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 108354) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2014-04-02 |