| NPI | 1003995408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A94217) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 41994) |
| 207R00000X Internal Medicine (Licence: CA A94217) | |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2021-12-22 |