| NPI | 1679663389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 51164) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA074833) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C10007588) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-08-10 |