| NPI | 1629091988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NE 20778) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL MFC1593) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-05-06 |