| NPI | 1205018967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A83692) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A83692) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2019-12-30 |