| NPI | 1013113208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA 60653608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A106773) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2016-11-14 |