| NPI | 1417981796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2015-0819) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA a62290) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-02-19 |