| NPI | 1457548513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 065613) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 247546) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2011-06-22 |