| NPI | 1609828326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2011-0092) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 13380) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-07-27 |