| NPI | 1184725707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G68339) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 9914) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-06-04 |