| NPI | 1407976392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MA 238696) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 238696) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2016-01-09 |