| NPI | 1033399357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 260363) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A105670) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2014-08-01 |