| NPI | 1952483786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ND 13875) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 30900) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2017-05-05 |