| NPI | 1467447045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 0056918) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 200001261) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G87629) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2010-06-08 |