| NPI | 1447478755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 46249) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 23164) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-06-14 |