| NPI | 1528282050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: GA 059554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 27100) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2013-02-20 |