| NPI | 1013007202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A85306) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 48833-020) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-12-14 |