| NPI | 1396708046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SD 9339) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SD 5516) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2014-11-25 |