| NPI | 1184911273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 49915) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A113245) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2016-06-22 |