| NPI | 1295864395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C52324) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM 99101) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2022-11-28 |