| NPI | 1447324413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0051774) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA 27369) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2013-06-07 |