| NPI | 1689867434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA MD 201621) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 201621) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2014-11-09 |