| NPI | 1821247693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 38981) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 72194) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2017-02-23 |