| NPI | 1538235726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD151168) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G42622) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2014-09-17 |