| NPI | 1528039732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NV 13331) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: CA A84952) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2011-10-20 |