| NPI | 1275720799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 53394) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A92093) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 104993) | |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2016-07-29 |