| NPI | 1023293016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A100335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A100335) |
| 208D00000X General Practice (Licence: CA A100335) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2023-08-07 |