| NPI | 1205087087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX T6659) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A101301) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2024-04-26 |