| NPI | 1427113760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MA 239645) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT188392) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2012-09-27 |