| NPI | 1437142668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME73113) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: GA 075446) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2016-02-10 |