| NPI | 1295742120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TN 54629) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: CA G72693) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-09-17 |