| NPI | 1841502689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 57011) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 106977) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2013-09-13 |