| NPI | 1447247077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2011007590) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 30857) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2016-10-20 |