| NPI | 1225052319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA MD.208249) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A062387) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2015-12-15 |