| NPI | 1942434659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NE 29318) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 54895) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2016-12-01 |