| NPI | 1013945260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C51723) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA C517523) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2023-11-27 |