| NPI | 1598795403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: HI MD4748) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD4748) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: HI MD4748) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-06-18 |