| NPI | 1437228079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C54808) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 45500) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2011-08-25 |