| NPI | 1942320288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A 107838) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: PA 433770) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2009-05-29 |