| NPI | 1669495644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2009-00744) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 227320) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-05-03 |