| NPI | 1205071677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV 20694) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A103328) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2023-11-28 |