| NPI | 1245593292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: VA 0101276282) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A163167) |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2022-12-10 |