| NPI | 1417925009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM 95380) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G43294) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2014-06-16 |