| NPI | 1043348618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A82162) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A82162) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2008-00985) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2022-04-07 |