| NPI | 1447256037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO R3526) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 14275) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2016-01-25 |