| NPI | 1043503295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A147641) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: RI MD14655) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2022-01-31 |