| NPI | 1871798421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD Pending) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C1-0011248) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2015-07-22 |