| NPI | 1144478454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C156640) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C156640) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2023-07-24 |