| NPI | 1316970171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C180512) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D64182) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-07-19 |