| NPI | 1194936625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A110782) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MT183340) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD435435) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2022-06-02 |