| NPI | 1811973860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G45827) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G45827) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2013-01-22 |