| NPI | 1881861540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A101729) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 23265) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2013-06-18 |