| NPI | 1225286396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101254842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A109533) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2020-10-16 |