| NPI | 1932264918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL AL12052) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: AL AL12052) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |