| NPI | 1497958235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 49718) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 32518) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2013-12-13 |