| NPI | 1528141785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2003-00595) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D73716) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2013-06-25 |