| NPI | 1669458469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 037326) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-6907) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2011-04-13 |